Advanced Practice Provider III
Alamance County, NC - wilmington, NC
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Salary: Depends on Qualifications Location : Alamance County, NC Job Type: Full-time Job Number: Department: Health Department Opening Date: 03/24/2024 Closing Date: 9/30/2024 11:59 PM Eastern Job Purpose This position is an advanced level APP professional position and has a dual role in direct customer care and serving as the APP team lead with administrative and supervisory duties. Advanced professional work as an advanced practice provider providing medical care in the following areas: maternal health, women's health/family planning, STD, and child health clinics. Administrative duties are to help create cohesive team dynamics and representative APP staff and team needs through the agency and community. Hiring range is posted and will commensurate with experience. REPOST Responsibilities Clinical Maternity clinic providing prenatal, postpartum and primary medical care both in the routine setting as well as Centering Pregnancy setting Women's health/family planning clinic- providing preventive screenings, well-woman, contraceptive counseling, gynecological care and LARC procedures Child health clinic providing well child care and access to care appointments, no sick care Sexually transmitted disease (STD) clinic providing care to males and females, adolescents and adults Assist with medical care in tuberculosis control clinic (TB) as needed Specific duties in the above clinic areas include: obtaining pertinent patient history performing indicated physical examination ordering necessary diagnostic and screening tests and interpreting results formulating an assessment and plan based upon available data; documentation of findings, impression, and plan in electronic medical records prescription of birth control methods insertion/removal of FDA approved LARC methods writing, labeling, and dispensing prescriptions as necessary providing patient education arranging referrals as needed consulting with collaborating physician as needed providing medical consultation within scope of practice to public health nurses in women's health, maternity, child health, STD, immunizations and TB Programs Provide internal consultation for APP II practitioners with regular review with medical director Provide clinical coverage during staff shortages, absences and vacations Administrative Provide support and lead APP team Review leave requests and work with clinic manager regarding customer schedules Lead or help with daily huddles, clinic information review, clinic data review Attend and lead interdisciplinary care coordination meetings Lead and collaborate with medical director for monthly APP team meetings Meet with APP staff quarterly to review professional development and work Meet with APP staff in a timely fashion for customer feedback or billing/documentation issues Administer annual APP performance appraisals Attend appropriate agency team meetings such as clinical management team, supervisor meeting, leadership team. Attend board of health when at the request of health director, medical director or nursing director Represent medical director/clinical team at community meetings such as community connections or perinatal regional meetings, or those assigned by supervisor Support individual program/clinic coordination and help with RN coordinator duties when assigned Annually, assist development and review of agency program nursing standing orders Assist and provide guidance to nurse supervisors and program coordinators for procedure manual revisions **Administrative time may be utilized for clinical services if there are provider shortages or vacations Qualifications Accountability - Ability to accept responsibility and account for his/her actions. Accuracy - Ability to perform work accurately and thoroughly. Communication, Oral - Ability to communicate effectively with others using the spoken word. Communication, Written - Ability to communicate in writing clearly and concisely. Compassion - Ability to show kindness, empathy and genuine care. Honesty - Ability to be truthful, maintain high level of confidentiality and be seen as credible in the workplace. Integrity - Trustworthiness to a degree that one is incapable of being false to a trust, responsibility or pledge Judgment - Ability to use good judgment and discretion as it relates to interpreting policies and procedures. Problem Solving - Ability to find a solution for or to deal proactively with work-related problems. Relationship Building - Ability to effectively build relationships with customers and co-workers. Safety-Minded - Creating a safe work environment; managing risks; reducing exposure liabilities. Teamwork - Ability to work with others successfully and productively for the common cause and desired end goal. Skills & Abilities MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: Graduation from a Physician Assistant program approved by the N.C. Board of Medical Examiners and "approved to practice medical acts" based on education and experience by the Board of Medical Examiners, and minium 2 year of experience as an PA; or licensed as a Registered Nurse by the Board of Nursing, graduation from a Family or Women's Health Nurse Practitioner or Certified Nurse Midwife program approved by the N.C. Joint Subcommittee of the Board of Nursing and Board of Medical Examiners, and "approved to practice medical acts" based on education and experience by the Joint Subcommittee, and a minimum of two years of experience as NP; or equivalent combination of education and experience. NECESSARY SPECIAL QUALIFICATIONS: Licensed as a Physician Assistant by the North Carolina Medical Board or approved to practice as a Nurse Practitioner or Certified Nurse Midwife by the North Carolina Board of Nursing and the North Carolina Medical Board and two years of experience as an APP; or an equivalent combination of education and experience. PREFERRED QUALIFICATIONS: More than 5 years of APP practice Centering Pregnancy--Centering Pregnancy experience, Centering Pregnancy Basic Facilitation training Bilingual/Fluent in both Spanish and English both oral and written. Ability to independently perform Nexplanon and IUD insertions/removal and train/precept others Training or experience in leadership, team building, team dynamics Training in giving feedback Ability to work in all clinical areas at ACHD (including Child Health), Experience with Epic EMR Training and experience identifying and implementing best clinical practice strategies. Experience with policy development and implementation. Experience and agreement with the health director expectations, found here: PHYSICAL DEMANDS: N (Not Applicable) Activity is not applicable to this position. O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day) F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day) C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day) Physical Demands Stand F Walk F Sit F Manually Manipulate F Reach Outward F Reach Above Shoulder O Climb O Crawl O Squat or Kneel O Bend O Lift/Carry 10 lbs or less F 11-20 lbs. O 21-50 lbs. O 51-100 lbs. O Over 100 lbs. N Push/Pull 12 lbs or less F 13-25 lbs. O 26-40 lbs. O 41-100 lbs. O Other Physical Requirements • Vision (Near, Distance, Peripheral) Health Insurance - Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following the 30-day waiting period. Changes to elections can then be made during the annual open enrollment period, usually in the fall, or within 30 days of a qualified life event (marriage, divorce, birth or adoption of a child, change in child's dependent status, death of a spouse or other dependent and other change in employment status). Alamance County Government currently offers three plans of medical/pharmacy benefit options including a COPAY Plan 70, COPAY Plan 80 and a QHDHP with HSA. Dental Benefit - Alamance County offers one dental insurance (Delta Dental) plan for FT employees. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event. Vision Insurance - A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event. Voluntary Benefits: Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more. Death Benefit - Alamance County Government has elected to contribute towards a Death Benefit associated with the Retirement System for all employees that are contributing Retirement System members. Once an employee has met at least one (1) year as a contributing member to the retirement system, the employee will have a benefit payable to their beneficiary of no less than $25,000 and no more than $50,000 based on the employee's salary. Benefit is payable if the employee is actively working and has not reached 70 years of age. Life Insurance - Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents. Retirement Benefits - Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed. If you leave the County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have at least five (5) years of service, you are considered 100% vested in NCLGERS. Alamance County will be contributing a percentage as required by NCLEGRS on your behalf as well. Time Off Accruals: Vacation Time - All Alamance County full time employees immediately earn a bank of vacation hours that can be used after 6 months of employment (exhausting their probationary period). Vacation time accrues based on the full-time hire date (most recent hire date is used in the case of rehires). Employees with a hire date before the 15th of the month will receive vacation credit for that month; otherwise, time will not be earned. Time will be contributed to the employee's time off bank on the 15th of the month based on a monthly proration of the schedule below. Years of Service - Days of Vacation Annually 0-4 years of service 10 days equivalent to 80 hours 5-9 years of service 13 days equivalent to 104 hours 10-14 years of service 16 days equivalent to 128 hours 15-19 years of service 21 days equivalent to 168 hours 20 years or more 25 days equivalent to 200 hours Sick Time - All Alamance County full-time employees will earn a bank of sick hours to be used when they are away from work for instances related to their own illness or the illness of an immediate family member, death of an immediate family member or when they (or an immediate family member) need to attend a health-related appointment. All County employees earn 12 days of sick leave per year with an earnings of 8 hours per month if employed on or before the 15th of the month. County Observed Holidays - Alamance County will observe the State of North Carolina Holiday Schedule. Holidays will include the following and will be paid at 8 hours holiday pay. Exceptions have been made for certain departments given the nature of the services provided. Wellness Benefits & Programming: Employee Assistance Program: There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all it's free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isn't recorded. Help is available 24/7/365 by telephone. Alamance County Employee Health Center opperated by Everside Health: Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the clinic. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost. Services Available: Treatment of injuries or illnesses such as Flu, Sinus Infection, pink eye, sprains, strains or fever. Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...) Assistance with finding a Primary Care Provider Health Education and Counseling Triage and referrals to specialists when appropriate. Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave (up to 4 weeks), Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay. Employee Fitness Center: Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.
Created: 2024-09-13